Hi,

This came up for me on my Saturday morning rounds (I'm on call this weekend).

I have a mom with "bulbous" nipples with very tiny aerola (almost mushroom
like in appearance).  She is day 2 post partum and had a C-section due to
fetal distress.

I need some suggestions on latch with this babe and mom.  Especially how to
get a nipple farther in the mouth that is more wide than long.  Baby is not
opening mouth very wide (looks like other post epidural babies I have seen).
Consequently he is tip feeding (actually sucking nipple rather than massaging
the sinuses) and mom is getting very sore.

TIA,

Pierrette Mimi Poinsett, MD FAAP
Modesto CA

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